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Pseudoxanthoma Elasticum. Presented by Dr. James R. Rogin.
E. H., a white woman aged 21, first noted changes in her skin about two years ago. These changes appeared primarily on the sides of the neck, and since that time she has acquired similar lesions on her upper eyelids and on the anterior axillary folds.
In the areas mentioned, the patient presents typical yellowish papules and plaques arranged in streaks in the folds of the skin.
Ophthalmologic examination was reported as follows: "There were characteristic angioid streaks in both eyes. In the right eye one streak ran right through the macula. Her refractive error was insignificant; vision was 20/20 with a correction of + 0.25 sph. for the right eye and of + 0.25 sph. + 0.25 cyl., axis 90 for the left eye. There were no hemorrhages in the macula.
"This is a very interesting case since few patients with the condition
Reyner CE, Pinkus H. DETROIT DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1950;61(5):875–878. doi:https://doi.org/10.1001/archderm.1950.01530120166025
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